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New York rates for HCPCS 58573

Laparoscopy, surgical, with total hysterectomy, for uterus greater than 250 g; with removal of tube(s) and/or ovary(s)

Facilitymedian $7,413 · 10th–90th $1,862$19,0550%10%10th90th$7,413$50.0$200.0$1.0K$5.0K$20.0K$100.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,698.24 / $6,918.31 / $16,595.87
Aetna
Facility/Professional
Facility
Modifier
22
Typical Low / Median / Typical High
$19,952.62 / $19,952.62 / $23,442.29
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5,011.87 / $10,964.78 / $26,302.68
CDPHP
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,737.80 / $3,162.28 / $12,882.50
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$34.67 / $12,302.69 / $53,703.18
Cigna
Facility/Professional
Facility
Modifier
22
Typical Low / Median / Typical High
$2,511.89 / $2,511.89 / $2,511.89
Cigna
Facility/Professional
Facility
Modifier
AS
Typical Low / Median / Typical High
$208.93 / $208.93 / $208.93
Emblem Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,318.26 / $2,290.87 / $4,265.80
Highmark BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$7,079.46 / $13,489.63 / $33,113.11
MVP Health Care
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,318.26 / $50,118.72 / $75,857.76
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,691.53 / $6,309.57 / $16,595.87
Univera
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,000.00 / $1,380.38 / $4,073.80